1.
The patient has lived here ________ the past several years.
Explanation
We use for when we measure time or duration (seconds, minutes, hours, days, months, years).
We use since with a specific date or time.
2.
She is to return to the clinic to see me ________ a year’s time, but I remain available ________ questions or concerns ________ the interim.
Explanation
The correct answer is "in, for, in". In the given sentence, the word "in" is used to indicate a specific time frame, "for" is used to express availability, and the second "in" is used to indicate the time period in which the availability remains.
3.
My impression is that the patient is a 55-year-old female ________ severe obstructive lung disease secondary ________ reactive airways disease as well as component of viral-meditated rhinitis with perpetuated cough.
Explanation
The correct answer is "with, With,to, To". The sentence structure suggests that the patient has multiple conditions. The first blank should be filled with "with" to indicate that the patient has severe obstructive lung disease along with reactive airways disease. The second blank should be filled with "With" to continue the sentence structure. The third blank should be filled with "to" to indicate that viral-mediated rhinitis is the cause of the perpetuated cough.
4.
As always, we stand ready to assist him ________ his medical needs ________ any way, shape, or form.
Explanation
The correct answer is "with, in, in" because the sentence is expressing a willingness to assist someone in any way possible with their medical needs. The preposition "with" indicates the means or method of assistance, while the preposition "in" is used to indicate involvement or participation in something. Therefore, the phrase "with his medical needs" suggests providing assistance specifically related to his medical requirements. Additionally, the phrase "in any way, shape, or form" emphasizes the comprehensive and all-encompassing nature of the assistance being offered.
5.
________ addition to that, she is going to be ________ a scale starting ________ 2 units ________ NovoLog.
Explanation
The phrase "In addition to that" indicates that something else is being mentioned or included. The word "In" is used to show that the speaker is referring to something inside a particular group or category. The word "in" is also used to indicate a location or position. The word "on" is used to show that something is happening or being done at a particular time. The word "with" is used to indicate that someone or something is accompanying or participating in an action. The word "of" is used to show a relationship or possession. In this context, all of these prepositions are used to convey different aspects of the situation being described.
6.
She does report symptoms ________ fatigue as well as episodic stomach cramping.
Explanation
The word "of" is the correct answer because it is used to show possession or to indicate a relationship between two things. In this sentence, "of" is used to indicate that the person is reporting symptoms that are related to fatigue. Without the word "of," the sentence would not make sense grammatically or logically.
7.
The patient is a 55-year-old woman ________ a history ________ Graves disease who has been somewhat irregular ________ her followup visits.
Explanation
The correct answer is "with, of, with". The first "with" indicates that the patient is a 55-year-old woman who has a history of Graves disease. The second "of" is used to show the relationship between the patient and her history of Graves disease. The third "with" indicates that the patient has been somewhat irregular with her follow-up visits.
8.
The spleen was mildly enlarged ________ 14 cm.
Explanation
'By' would be incorrect as the spleen is 'mildly enlarged.' This sentence could alternately also be written as
At 14 cm, the spleen was mildly enlarged.
9.
The patient has been urged to be more compliant ________ taking his insulin.
Explanation
The correct answer is "with". In this context, "compliant with" means that the patient has been encouraged to follow or adhere to the instructions or recommendations for taking his insulin. The word "with" indicates that the patient should comply or be in agreement with the prescribed treatment plan.
10.
She is to continue ________ her current dose ________ Synthroid ________ now.
Explanation
The correct answer is "with, of, for". In this sentence, "with" is used to indicate that she is supposed to continue something in conjunction with her current dose. "Of" is used to specify the quantity or amount of her current dose. "For" is used to indicate the purpose or duration of her continuation.
11.
We will consider checking a 24-hour urine to evaluate ________ Cushings disease, although, our index ________ suspicion is fairly low.
Explanation
The sentence suggests that the speaker wants to evaluate something related to Cushing's disease by checking a 24-hour urine sample. However, they mention that their suspicion or belief in the presence of Cushing's disease is fairly low. Therefore, the correct prepositions to use in this context are "for" and "of". The phrase "checking a 24-hour urine to evaluate for Cushing's disease" means they are checking the urine sample to see if Cushing's disease is present. The phrase "our index of suspicion is fairly low" means their level of belief or suspicion of Cushing's disease is low.
12.
The patient was a heavy smoker ________ the past.
Explanation
The word "in" is the correct answer because it completes the sentence and makes it grammatically correct. The phrase "in the past" indicates that the patient was a heavy smoker at some point in the past.
13.
He was admitted because ________ increasing shortness ________ breath.
Explanation
The correct answer is "of, of" because the sentence structure requires the preposition "of" to show possession or association between the subject "He" and the noun phrases "increasing shortness" and "breath." The repetition of "of" is necessary to properly convey the relationship between the subject and the two nouns.
14.
The patient ________ the above diagnosis is doing very well ________ this new medical regimen.
Explanation
The patient is doing very well with this new medical regimen. The word "with" indicates that the patient is using or following the medical regimen, and the word "on" indicates that the patient is currently doing well with the regimen.
15.
We will plan ________ performing an endoscopic ultrasound ________ 6 months.
Explanation
The word "on" is used to indicate a specific date or day, so it would be appropriate to use it when planning the endoscopic ultrasound. The word "in" is used to indicate a period of time, so it would be suitable to use it to specify the timeframe of 6 months. The word "after" suggests that the endoscopic ultrasound will take place following a certain event or time, while the word "within" implies that it will occur within the 6-month period.
16.
________ that time, her biopsies were ________ the conservative side.
Explanation
The correct answer is "At, at, on". The word "At" is used to indicate a specific point in time, "at that time". The word "at" is repeated to emphasize the specific point in time. The word "on" is used to indicate a position or location, in this case, the position of her biopsies being on the conservative side.
17.
The intermittent nature ________ the blurring suggests a tear film disorder.
Explanation
The word "of" is the correct answer because it completes the sentence and makes it grammatically correct. The phrase "The intermittent nature of the blurring" suggests that the blurring occurs in an intermittent or sporadic manner. This, in turn, indicates a tear film disorder, which can cause irregularities in vision.
18.
The patient is a 29-year-old male who presented ________ the clinic ________ a chief complaint ________ chest pain.
Explanation
The correct answer is "The patient is a 29-year-old male who presented with the clinic with a chief complaint of chest pain." This sentence describes the patient's visit to the clinic and the reason for their visit, which is chest pain. The word "with" is used to indicate that the patient came to the clinic and "of" is used to show the chief complaint or reason for the visit. The word "to" is not appropriate in this context as it does not convey the correct meaning.
19.
She denied any history ________ post-menopausal bleeding.
Explanation
The word "of" is the correct answer because it is used to indicate possession or association. In this context, it is used to show that the person denied having any history associated with post-menopausal bleeding.
20.
This is a followup visit ________ this 79-year-old gentleman ________ the diagnosis ________ Alzheimer disease.
Explanation
The correct answer is "for, with, of." In this sentence, "for" is used to indicate the purpose of the visit, which is a follow-up. "With" is used to show the association or connection between the visit and the 79-year-old gentleman. Lastly, "of" is used to indicate the diagnosis, which is Alzheimer's disease.
21.
The patient is independent ________ all basic activities ________ daily living.
Explanation
The correct answer is "in, of". In this sentence, the prepositions "in" and "of" are used to indicate the relationship between the patient and the basic activities of daily living. The phrase "in daily living" suggests that the patient is able to perform these activities as part of their daily routine. The preposition "of" indicates that the basic activities belong to or are associated with daily living. Therefore, the patient is independent in all basic activities of daily living.
22.
I think it is reasonable ________ give him a trial ________ this medication.
Explanation
The correct answer is "to, of". In this sentence, the phrase "give him a trial" indicates that the person is going to try the medication. The preposition "to" is used to show the purpose or intention of giving the trial. Additionally, the preposition "of" is used to indicate possession or association, suggesting that the trial belongs to the medication.
23.
Sensory is intact ________ light touch.
24.
I have asked the patient ________ return ________ a followup ________ 6 ________ 8 weeks’ time.
Explanation
The sentence is asking the patient to return for a follow-up appointment in 6 to 8 weeks' time. The word "to" is used to indicate the action of returning, "for" is used to specify the purpose of the return (for a follow-up), "in" is used to indicate the time frame (6 to 8 weeks), and "to" is used again to indicate the specific time of the return.
25.
The patient was ________ agreement ________ today’s plan.
Explanation
The correct answer is "in, with." In this sentence, "in" is used to show that the patient was involved or participating in the agreement, while "with" is used to indicate that the patient was in agreement or in accordance with today's plan. The combination of "in" and "with" accurately conveys the patient's active participation and agreement with the plan.
26.
She has been transfused ________ hemoglobin.
Explanation
The correct answer is "with" because the sentence is indicating that she has received a transfusion of hemoglobin. The word "with" is used to show the accompanying action or condition, in this case, the transfusion of hemoglobin.
27.
We would be happy ________ see the patient back ________ my clinic ________ further evaluation and discussion ________ treatment options.
Explanation
The correct answer is "to, in, for, of". The phrase "We would be happy" implies a willingness or desire to do something, in this case, to see the patient back. The preposition "in" is used to indicate the location or place, in this case, the clinic. "For" is used to indicate the purpose or reason, in this case, for further evaluation and discussion. Finally, "of" is used to indicate possession or association, in this case, the treatment options.
28.
The most likely diagnosis ________ this time is an early ovarian malignancy.
29.
The patient is a 5-year-old girl who has a longstanding history ________ crossed eyes ________ the age ________ 1.
Explanation
The patient is a 5-year-old girl who has a longstanding history of crossed eyes since the age of 1. This means that the girl has been experiencing crossed eyes for a long time, starting from when she was 1 year old.
30.
The patient has also been dispensed ________ an off-work slip ________ an additional week ________ see if his Medrol Dosepak increases his mobility.
Explanation
The patient has been given an off-work slip to take time off from work. Additionally, he has been dispensed medication, Medrol Dosepak, to see if it improves his mobility. The word "with" is used to indicate that the patient has been provided with the medication and the off-work slip. The word "for" is not suitable in this context as it does not convey the intended meaning. The word "to" is used to express the purpose of giving the medication, which is to assess its impact on the patient's mobility.
31.
The patient is an 82-year-old woman whose chief complaint is loss ________ hearing. She has concerns ________ regards ________ wax build up.
Explanation
The correct answer is "of, with, to". In the given sentence, the word "loss" should be followed by the preposition "of" to indicate the type of loss. The word "concerns" should be followed by the preposition "with" to show what the concerns are related to. Lastly, the phrase "regards wax build up" is a common phrase that means "concerning wax build up". Therefore, the correct preposition to use is "to".
32.
The patient does have some high blood pressure ________ which she is receiving treatment.
Explanation
The word "for" is the correct answer because it indicates the reason or purpose for which the patient is receiving treatment. In this case, the patient is receiving treatment for her high blood pressure.
33.
The patient lives ________ her daughter and has a 50-year history ________ smoking which accounts ________ her respiratory distress and occasional requirement ________ oxygen.
Explanation
The patient lives with her daughter and has a 50-year history of smoking which accounts for her respiratory distress and occasional requirement of oxygen.
34.
The patient is ________ high-dose aspirin ________ February 22, 2014.
Explanation
The patient has been taking high-dose aspirin since February 22, 2014.
35.
It has been a long time ________ I had a good meal, or I have not had a good meal ________ ages.
Explanation
The correct answer is "since" because it is used to indicate the starting point of a period of time. In this sentence, it is used to show that it has been a long time since the speaker had a good meal. On the other hand, "for" is not suitable in this context because it is used to indicate the duration or length of time.
36.
It has been 3 years ________ I did any skiing. I have not done any skiing ________ the past 3 years.
Explanation
The word "since" is the correct answer because it is used to indicate a specific point in time when an action or event started. In this case, it has been 3 years since the person last did any skiing. The word "for" is not the correct answer because it is used to indicate a duration of time, rather than a specific point in time.
37.
This patient was injured ________ an accident ________ a Harley Davidson.
Explanation
The correct answer is "in, on" because the preposition "in" is used to indicate the cause or manner of the injury, while the preposition "on" is used to indicate the means of transportation involved in the accident.
38.
The patient did not have her lunch and began ________ feel ________ the weather.
Explanation
The correct answer is "to, under." The patient did not have her lunch and began to feel under the weather. This phrase is commonly used to describe someone who is feeling unwell or not their best. In this case, not having lunch may have caused the patient to feel weak or ill, contributing to her feeling under the weather.
39.
The patient was charged ________ driving while ________ the influence ________ alcohol.
Explanation
The correct answer is "charged with driving while under the influence of alcohol." In this sentence, the verb "charged" is followed by the preposition "with" to indicate the offense or crime that the patient is being accused of. The phrase "driving while under the influence" is a legal term used to describe the act of operating a vehicle while intoxicated. The word "of" is used to show the substance or condition that influenced the person's behavior, in this case, alcohol.
40.
The patient has a large congenital anesthetic nevus ________ the left side ________ the face.
Explanation
The correct answer is "on, of". The sentence states that the patient has a large congenital anesthetic nevus on the left side of the face. This indicates that the nevus is located on the left side of the face, specifying its position. The word "of" is used to indicate possession or relationship, in this case, indicating that the nevus is a part or characteristic of the left side of the face.